Individual
AMANDA COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, MSW
Contact information
Practice address
475 FRANKLIN ST STE 101, FRAMINGHAM, MA 01702
(508) 875-3100
Mailing address
475 FRANKLIN ST STE 101, FRAMINGHAM, MA 01702-6236
(508) 875-3100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
120894
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164637740
EMPLOYER, COMMUNITY/BEHAVIORAL HEALTH
MA
Enumeration date
04/19/2018
Last updated
06/11/2019
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